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1194350157
JENNIFER LONGWELL
BOISE, ID
NPI
1194350157
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: ID OT-2173)
Enumeration Date
2020-03-10
Last Update Date
2020-03-10
Business Address
JENNIFER LONGWELL OTR/L
3169 S BOWN WAY
BOISE, ID 83706-5400
Phone number: 208-433-9152
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Mailing Address
JENNIFER LONGWELL OTR/L
3169 S BOWN WAY
BOISE, ID 83706-5400
Phone number: 208-433-9152
Copy
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